Comprehensive Stock Comparison
Compare The Oncology Institute, Inc. (TOI) vs Agios Pharmaceuticals, Inc. (AGIO) Stock
Analyze side-by-side fundamentals, valuation, growth, and profitability to decide which stock is the better buy.
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Quick Verdict
| Category | Winner | Why |
|---|---|---|
| Growth | AGIO | 48.0% revenue growth vs TOI's 21.3% |
| Quality / Margins | TOI | -14.4% net margin vs AGIO's -9.0% |
| Stability / Safety | AGIO | Beta 0.91 vs TOI's 1.56, lower leverage |
| Dividends | Tie | Neither pays a meaningful dividend |
| Momentum (1Y) | TOI | +239.2% vs AGIO's -14.9% |
| Efficiency (ROA) | AGIO | -29.0% ROA vs TOI's -40.5%, ROIC -26.6% vs -40.9% |
Who Each Stock Is For
Income & stability
Growth exposure
Long-term compounding (10Y)
Sleep-well-at-night portfolio
Defensive / Recession hedge
Business Model
What each company does and how it makes money
The Oncology Institute operates a network of outpatient cancer care clinics providing comprehensive oncology services including chemotherapy, radiation, and clinical trial management. It generates revenue primarily from fee-for-service medical oncology treatments — with infusion services and physician consultations being major contributors — supplemented by clinical trial management fees. The company's competitive advantage lies in its integrated care model that combines clinical services with research capabilities across its 67 clinic locations, creating a scalable platform for community-based cancer care.
Agios Pharmaceuticals is a biopharmaceutical company focused on developing treatments for rare genetic diseases related to cellular metabolism. It generates revenue primarily from sales of its lead drug PYRUKYND for pyruvate kinase deficiency — with additional income from research collaborations and milestone payments — while advancing a pipeline of other metabolic therapies. The company's competitive advantage lies in its deep expertise in cellular metabolism science and proprietary platform for targeting metabolic pathways in rare diseases.
Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Financial Metrics Comparison
Side-by-side fundamentals across 2 stocks. BestLagging
Financial Scorecard
AGIO leads in 3 of 6 categories (Valuation Metrics, Profitability & Efficiency). TOI leads in 1 (Financial Metrics). 1 tied.
Financial Metrics (TTM)
TOI is the larger business by revenue, generating $461M annually — 10.3x AGIO's $45M. Profitability is closely matched — net margins range from -14.4% (TOI) to -9.0% (AGIO). On growth, AGIO holds the edge at +43.7% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | TOIThe Oncology Inst… | AGIOAgios Pharmaceuti… |
|---|---|---|
| RevenueTrailing 12 months | $461M | $45M |
| EBITDAEarnings before interest/tax | -$34M | -$470M |
| Net IncomeAfter-tax profit | -$66M | -$401M |
| Free Cash FlowCash after capex | -$28M | -$414M |
| Gross MarginGross profit ÷ Revenue | +14.8% | +84.4% |
| Operating MarginEBIT ÷ Revenue | -8.9% | -10.6% |
| Net MarginNet income ÷ Revenue | -14.4% | -9.0% |
| FCF MarginFCF ÷ Revenue | -6.0% | -9.2% |
| Rev. Growth (YoY)Latest quarter vs prior year | +36.7% | +43.7% |
| EPS Growth (YoY)Latest quarter vs prior year | +22.2% | -111.0% |
Valuation Metrics
| Metric | TOIThe Oncology Inst… | AGIOAgios Pharmaceuti… |
|---|---|---|
| Market CapShares × price | $219M | $2.25T |
| Enterprise ValueMkt cap + debt − cash | $292M | $2.25T |
| Trailing P/EPrice ÷ TTM EPS | -4.07x | -4.25x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — |
| PEG RatioP/E ÷ EPS growth rate | — | — |
| EV / EBITDAEnterprise value multiple | — | — |
| Price / SalesMarket cap ÷ Revenue | 0.56x | 9999.00x |
| Price / BookPrice ÷ Book value/share | 60.43x | 1.47x |
| Price / FCFMarket cap ÷ FCF | — | — |
Profitability & Efficiency
AGIO delivers a -31.2% return on equity — every $100 of shareholder capital generates $-31 in annual profit, vs $-2 for TOI. AGIO carries lower financial leverage with a 0.03x debt-to-equity ratio, signaling a more conservative balance sheet compared to TOI's 34.31x.
| Metric | TOIThe Oncology Inst… | AGIOAgios Pharmaceuti… |
|---|---|---|
| ROE (TTM)Return on equity | -2.1% | -31.2% |
| ROA (TTM)Return on assets | -40.5% | -29.0% |
| ROICReturn on invested capital | -40.9% | -26.6% |
| ROCEReturn on capital employed | -40.8% | -33.8% |
| Piotroski ScoreFundamental quality 0–9 | 3 | 3 |
| Debt / EquityFinancial leverage | 34.31x | 0.03x |
| Net DebtTotal debt minus cash | $73M | -$49M |
| Cash & Equiv.Liquid assets | $50M | $89M |
| Total DebtShort + long-term debt | $123M | $40M |
| Interest CoverageEBIT ÷ Interest expense | -4.92x | — |
Total Returns (with DRIP)
A $10,000 investment in AGIO five years ago would be worth $6,363 today (with dividends reinvested), compared to $2,651 for TOI. Over the past 12 months, TOI leads with a +239.2% total return vs AGIO's -14.9%. The 3-year compound annual growth rate (CAGR) favors TOI at 27.0% vs AGIO's 6.1% — a key indicator of consistent wealth creation.
| Metric | TOIThe Oncology Inst… | AGIOAgios Pharmaceuti… |
|---|---|---|
| YTD ReturnYear-to-date | -21.3% | +11.2% |
| 1-Year ReturnPast 12 months | +239.2% | -14.9% |
| 3-Year ReturnCumulative with dividends | +105.0% | +19.4% |
| 5-Year ReturnCumulative with dividends | -73.5% | -36.4% |
| 10-Year ReturnCumulative with dividends | -70.2% | -21.2% |
| CAGR (3Y)Annualised 3-year return | +27.0% | +6.1% |
Risk & Volatility
AGIO is the less volatile stock with a 0.91 beta — it tends to amplify market swings less than TOI's 1.56 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. AGIO currently trades 65.7% from its 52-week high vs TOI's 59.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | TOIThe Oncology Inst… | AGIOAgios Pharmaceuti… |
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.56x | 0.91x |
| 52-Week HighHighest price in past year | $4.88 | $46.00 |
| 52-Week LowLowest price in past year | $0.60 | $22.24 |
| % of 52W HighCurrent price vs 52-week peak | +59.2% | +65.7% |
| RSI (14)Momentum oscillator 0–100 | 55.5 | 62.3 |
| Avg Volume (50D)Average daily shares traded | 1.5M | 948K |
Analyst Outlook
Wall Street rates TOI as "Buy" and AGIO as "Buy". Consensus price targets imply 73.0% upside for TOI (target: $5) vs 37.3% for AGIO (target: $42).
| Metric | TOIThe Oncology Inst… | AGIOAgios Pharmaceuti… |
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $5.00 | $41.50 |
| # AnalystsCovering analysts | 3 | 29 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | — | — |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% |
Historical Charts
Charts are rendered on first load. Hover for details.
Chart 1Total Return — 5 Years (Rebased to 100)
| Stock | Jun 20 | Feb 26 | Change |
|---|---|---|---|
| The Oncology Instit… (TOI) | 100 | 27.63 | -72.4% |
| Agios Pharmaceutica… (AGIO) | 100 | 50.61 | -49.4% |
Agios Pharmaceutica… (AGIO) returned -36% over 5 years vs The Oncology Instit… (TOI)'s -73%.
Chart 2Revenue Growth — 10 Years
| Stock | 2016 | 2025 | Change |
|---|---|---|---|
| The Oncology Instit… (TOI) | $155M | $393M | +153.2% |
| Agios Pharmaceutica… (AGIO) | $70M | $54M | -22.7% |
Agios Pharmaceuticals, Inc.'s revenue grew from $70M (2016) to $54M (2025) — a -2.8% CAGR.
Chart 3Net Margin Trend — 10 Years
| Stock | 2016 | 2025 | Change |
|---|---|---|---|
| The Oncology Instit… (TOI) | -2.6% | -16.4% | -535.2% |
| Agios Pharmaceutica… (AGIO) | -2.8% | -7.6% | -169.0% |
Agios Pharmaceuticals, Inc.'s net margin went from -3% (2016) to -8% (2025).
Chart 4EPS Growth — 10 Years
| Stock | 2016 | 2025 | Change |
|---|---|---|---|
| The Oncology Instit… (TOI) | -0.06 | -0.71 | -1037.8% |
| Agios Pharmaceutica… (AGIO) | -5.07 | -7.12 | -40.4% |
Agios Pharmaceuticals, Inc.'s EPS grew from $-5.07 (2016) to $-7.12 (2025).
Chart 5Free Cash Flow — 5 Years
The Oncology Institute, Inc. generated $-30M FCF in 2024 (+15% vs 2021). Agios Pharmaceuticals, Inc. generated $-377M FCF in 2025 (+9% vs 2021).
TOI vs AGIO: Frequently Asked Questions
7 questions · data-driven answers · updated daily
01Is TOI or AGIO a better buy right now?
Analysts rate The Oncology Institute, Inc. (TOI) a "Buy" — based on 3 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which is the better long-term investment — TOI or AGIO?
Over the past 5 years, Agios Pharmaceuticals, Inc. (AGIO) delivered a total return of -36.4%, compared to -73.5% for The Oncology Institute, Inc. (TOI). A $10,000 investment in AGIO five years ago would be worth approximately $6K today (assuming dividends reinvested). Over 10 years, the gap is even starker: AGIO returned -21.2% versus TOI's -70.2%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — TOI or AGIO?
By beta (market sensitivity over 5 years), Agios Pharmaceuticals, Inc. (AGIO) is the lower-risk stock at 0.91β versus The Oncology Institute, Inc.'s 1.56β — meaning TOI is approximately 72% more volatile than AGIO relative to the S&P 500. On balance sheet safety, Agios Pharmaceuticals, Inc. (AGIO) carries a lower debt/equity ratio of 3% versus 34% for The Oncology Institute, Inc. — giving it more financial flexibility in a downturn.
04Which has better profit margins — TOI or AGIO?
The Oncology Institute, Inc. (TOI) is the more profitable company, earning -16.4% net margin versus -764.0% for Agios Pharmaceuticals, Inc. — meaning it keeps -16.4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: TOI leads at -15.3% versus -873.9% for AGIO. At the gross margin level — before operating expenses — AGIO leads at 88.3%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
05Which pays a better dividend — TOI or AGIO?
None of the stocks in this comparison currently pay a material dividend. All are effectively zero-yield and should be held for capital appreciation rather than income.
06Is TOI or AGIO better for a retirement portfolio?
For long-horizon retirement investors, Agios Pharmaceuticals, Inc. (AGIO) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.91)). The Oncology Institute, Inc. (TOI) carries a higher beta of 1.56 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (AGIO: -21.2%, TOI: -70.2%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
07What are the main differences between TOI and AGIO?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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